Individual
GLYNIS REINA ABLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 ROSECRANS AVE, BLDG 6A SUITE 12, MANHATTAN BEACH, CA 90266-3708
(310) 727-3376
(310) 727-3377
Mailing address
1600 ROSECRANS AVE, BLDG 6A SUITE 12, MANHATTAN BEACH, CA 90266-3708
(310) 727-3376
(310) 727-3377
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G77280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G772800
BLUE SHIELD
CA
01
—
00G772801
BLUE SHIELD PIN
CA
01
—
G77280
BLUE CROSS
CA
Enumeration date
02/06/2006
Last updated
02/19/2008
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